Lam L T
Royal Alexandra Hospital for Children, Locked Bag 4001, Westmead, NSW 2145, Australia.
Inj Prev. 2003 Dec;9(4):338-42. doi: 10.1136/ip.9.4.338.
This study aims to investigate whether there is any association between the types of poison substances and geographic locations for different age groups and sex.
This is a population based epidemiological study utilising routinely collected inpatient statistics.
Data are collected as part of the routine vital health information system via all hospitals in New South Wales (NSW), Australia.
All patients aged between 0-19 years who were admitted to a hospital because of poisoning by the four major types of substances that were defined in the study in NSW in 2000.
The standardised incidence ratios of poisoning related hospitalisation between metropolitan and rural areas varied across different poison types when compared with the NSW average. While there are few differences between metropolitan and rural areas for analgesic and chemical related poisoning admissions across different age groups and sex, differences in the standardised incidence ratios between geographic locations for psychotropic and venom related poisoning admissions were found. No significant difference in standardised mortality ratios were found between metropolitan and rural areas except for females in the 10-14 years age group (standardised mortality ratio 3.24, 95% confidence interval 1.69 to 6.21).
The results obtained in this study, on the whole, provide some evidence for an association between poison types and geographic locations for psychotropic and venom related poisoning.
本研究旨在调查不同年龄组和性别的中毒物质类型与地理位置之间是否存在关联。
这是一项基于人群的流行病学研究,利用常规收集的住院患者统计数据。
数据作为常规生命健康信息系统的一部分,通过澳大利亚新南威尔士州(NSW)的所有医院收集。
2000年在新南威尔士州因研究中定义的四种主要物质中毒而入院的所有0至19岁患者。
与新南威尔士州平均水平相比,大城市和农村地区中毒相关住院的标准化发病率在不同中毒类型之间存在差异。虽然不同年龄组和性别的镇痛药和化学相关中毒入院在大城市和农村地区之间差异不大,但发现精神药物和毒液相关中毒入院的地理位置之间标准化发病率存在差异。除10至14岁年龄组的女性外,大城市和农村地区的标准化死亡率没有显著差异(标准化死亡率3.24,95%置信区间1.69至6.21)。
总体而言,本研究获得的结果为精神药物和毒液相关中毒的中毒类型与地理位置之间的关联提供了一些证据。